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I recently visited a prospect who was dropped from his MA over 1 year ago due to supposed lack of Part B coverage. He pays a Part B premium check to Medicare every 3 months since he never paid into Social Security and only qualifies due to his wife. He was "late" with one payment. Medicare then informed his MA plan that he dropped his Part B. Prospect claims that he never received the cancellation letter. When I met him recently, he had no LIS, medicaid, chronic condition, not new to the area, etc.; ie, none of the more common SEPs. I'm trying to qualify him now for LIS with Medicare to create a valid SEP.
When I just looked up his info on medicare.gov, I noticed that he has a proposed eff date with another MA!!! I know that the site is not always accurate.
I looked at the list of acceptable SEPs and only found one that I thought might fit. There is one where it picks them up when they are "dropped" by an MA, not the one:"leaving the area". But, it's been well over 1 year since he was dropped by MA. I've NEVER used this particular SEP, so don't know exactly what's involved.
Anybody else had any experience with a prospect like this? Does that SEP work?
When I just looked up his info on medicare.gov, I noticed that he has a proposed eff date with another MA!!! I know that the site is not always accurate.
I looked at the list of acceptable SEPs and only found one that I thought might fit. There is one where it picks them up when they are "dropped" by an MA, not the one:"leaving the area". But, it's been well over 1 year since he was dropped by MA. I've NEVER used this particular SEP, so don't know exactly what's involved.
Anybody else had any experience with a prospect like this? Does that SEP work?